Organization
WILFREDO L SANCIANCO DMD INC
Active
Other names
Wilfredo Sancianco DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFREDO L. SANCIANCO DMD (DENTIST/PROVIDER)
(401) 737-7716
Entity
Organization
Contact information
Practice address
3411 W SHORE RD, WARWICK, RI 02886-7561
(401) 737-7716
(401) 737-7713
Mailing address
3411 W SHORE RD, WARWICK, RI 02886-7561
(401) 737-7716
(401) 737-7713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
02633
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104221738
—
RI
Enumeration date
11/26/2014
Last updated
11/26/2014
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